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Cerclage for Short Cervix on Ultrasonography

Obstetrics and Gynecology · 2005 · Vol. 106(1) · pp. 181–189
Vincenzo BerghellaAnthony OdiboMeekai ToOrion A. RustSietske Althuisius

Abstract

Cerclage does not prevent preterm birth in all women with short cervical length on transvaginal ultrasonography. In the subgroup analysis of singleton gestations with short cervical length, especially those with a prior preterm birth, cerclage may reduce preterm birth, and a well-powered trial should be carried out in this group of patients. In contrast, in twins, cerclage was associated with a significantly higher incidence of preterm birth.

Preterm Birth and ChorioamnionitisPregnancy-related medical researchPelvic floor disorders treatmentsMedicineCervical cerclageGestationObstetricsRelative riskRandomized controlled trialConfidence intervalCervixPremature birthCervical insufficiency

MeSH terms

AdultUterine Cervical IncompetenceFemaleFollow-Up StudiesGestational AgeHumansInfant, NewbornMaternal AgeParityPregnancyPregnancy OutcomeProbabilitySensitivity and SpecificityIncidenceConfidence Intervals
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